Kidney Center of Central Georgia, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CENTER OF CENTRAL GEORGIA, LLC

Practice address

657 Hemlock St Ste 200
Macon, GA 31201-8324

Phone

(478) 254-7353

Fax

(478) 254-7350

NPI assigned

Feb 10, 2011

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachael Denise Tisdale

Title

Practice Manager

Phone

(478) 254-7353

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHCDBA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Franklin Enrique Fuenmayor-Cardozo, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1467659854
  NPD
• James Allen Stevick, M.D.

  • Surgery Physician
  • Columbus, GA
  • NPI 1710920657
  NPD
• Chike Magnus Nzerue, M.D.

  • Nephrology Physician
  • Cookeville, TN
  • NPI 1912976762
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1962708891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018324",
            "telephone_number": "478-461-3291",
            "fax_number": "478-254-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018324",
            "telephone_number": "478-254-7353",
            "fax_number": "478-254-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF CENTRAL GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-254-7353"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Nauman Khawaja, DO
• Neha Khorana, PHD
• Lara Michelle Khoury
• Supreeti K Khurana, M.D.
• Hajra Khurshid, MD
• Kidney Dialysis Center, LLC
• Priscilla Hope Kilgore, FNP-C
• Jiwoo Kim, MD
• Paul Joo-Young Kim, DO
• Seung G Kim, D.C

• Nephrology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.